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Home My WebLink About2015-00898 - windows � � CITY OF ORONO * Z p� 1 5 - 0 0 8 9 8 * 2750 KELLEY PARKWAY DATE ISSUED: 07/20/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1719 FAGERNESS POINT RD pIN : 17-117-23-21-0005 LEGAL DESC : MAPLEGATE INLET : LOT 004 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING- UNDEFINED VALUATION : $ 8,739.00 NOTE: REPLACE(6)WINDOWS INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 185.87 STATE SURCHARGE(VALUATION) 437 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 TOTAL 192.24 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 192.24 OWNER DARL[NG, LAUREEN 1719 FAGERNESS PT RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied wi[h whether or not specificd herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days a[any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � �p ��rj �a.v , /S Applicant Permitee Signature Date Issu y Signature Date ! � � �j'�/ O� 4rOi10 Building Permit Application for Maintenance 1 Renovation (windows, doors, siding, re-roof, etc.) MailingAddress: Permit riumber: � 5/� �s PO Box BB r� p�a�`yO Crystal Bay, MN 55323-0466 Date received: /- "/-J sr�t aaa��: R�N�d�y: � G� 2�150 Kelley Paricway Plan re�iew fee: — , t,� o�. Orono, MN 55358 Tota��ee: � % 9 a• ?y� � Main: 952-249-4600 Fax: 952-248-�$16 www.ci nd.m This application form must be completed in full and a!E required informatlon must be submitted. Incorr►plet�appliCations wlll b�returned. (Please p�'nf) C3ENERAL 1NFORAAATION: �� 'Q � � ��p�S��Q i�� '� • Job Site Address: ► WI�1 this be a Parade af Horoes, Remodelers Sh case Hflm�or othtr�isplay Hom�? Yes No K yes,e ap�cFel event perm�t!s required with Polfce Depannle►►t and Clty Cound!approvsl 60 days pr�or fo the event- Shuetle bus serv'rce wAl be roqul�d unle8s appJicant demortsL�fes suf�rcient onsite pafldng is evalFabJs. No»�ermitted eVer►ts wrl!rrot be allowed. CON7RACT�R/APPLkCANT lN�ORMATIdN: Name� 'l t � � �'�� State License# G�3oq 3 Expiration Date: ',5 31 Lead Cert'rficatfon Number: � � a �$ Expirat9on Date� �f�s ._ (for worrc on homes ltrat ware consdv�tad Pr3or to i97� (cell) Phone: (c51� a7 —�0`�- �c {of�ce) Mailing Address: �q ••C,•• W�.S� C�tY= v:l1e ZIP: SS Cantact Person: Applicant is: ntra / Homeowner (ClrcEu OnoJ Email and/or�ax: PROPERTY 4WNER INFORMAT1dN: Name: G�v( �, � � � Phone(day): ,S �-- Q Address: ' S• City: Zlp' Email and/or Fax PROJECT 1NFORMATION: ry��Pr��@�. Any earth movemeM may requ�r� MCWD rev�ew&permits: �p�r�� ❑Remod�l ❑Fire Damage �yinttehaha Creek Watershed Dlstnct(MCWD) � Re-roof.esphalt 0 Repair ❑Storm Dame$e 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Re�roof,tedar C] Restoretion ❑Water Damage p}��ne: 852-471-0590 �Re-roof.other(spec�ry} ❑Siding �4ther.(specify) Fax: 95Z�71-0682 .min hahacre� ❑Wlndow(s) Overall Pro ect Desc�iption: a� � Estimatsd Construction Valuatlon of Pro ec#(exeludin land) $ 3'�--' A,PPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information requlred Or requested by the BuElding I�epartment; . Certififies thal the int�srmatian auppfled is true and correct to the best of his/her knowledge. The applicant recagnizes that they r are solely responsible for submitting a complete appllcaiion being aware thai up4n faifur�tp do so, the staff has no al#�mat�ve but to reject It until it ls complete; + Some ar all Of the infqrrnatlon that you ara asked to provid� on thts applicatton is classfied by StBte law as 8ither private or �dr�ftdenti&I- Privafie data is information wttich ges�rally cannat be given to the publlc buf Can be given t�o tfie subJect of the data. Gonfldential data is information whEch ganerally cannot be given to either the publio or th� subJact of the data_ Our purpose and intended use of this informat�on is to annual{y update our records and r�cords of other govemmentai agendes re uired b 4aw. If u refuse ta su 1 the information,the a Iication ma noi be issued. Aonlicant's Sianature: �/'~''� �a�: ��'�� j� " 1✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED I�IS 3�°v PERMIT NO..ZO(S• C�U Si�l Q COMPLETED ADDRESS � � (q' ��1� neSs �f'1�r OWNER TELEPHONE NO.Cv�T �� CONTRACTOR �-f�� c� � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUN ,4TION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RAD N SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ F MING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W A BUILT-SURVEY ❑ SEWERHOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � w � � J d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advan 49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice